Author Topic: Two Interesting Weight Control Articles  (Read 1557 times)

stoneaxe

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Re: Two Interesting Weight Control Articles
« Reply #15 on: October 22, 2018, 04:01:41 PM »
Not sure I could go vegan...love meat too much...but we already cook fresh...don't buy much processed. Our downfall is pasta and dairy....I also like sugar and salt... :P. We need to do better for sure. We've cut way back on going out, both dietary and cost cutting reasons. Tough with so many great restaurants around that we like.
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PonoBill

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Re: Two Interesting Weight Control Articles
« Reply #16 on: October 22, 2018, 06:51:48 PM »
Sugar, yeah, you have to cut as much as possible. The less you use, the less you miss it and any dessert made with the normal amount of sugar is gross. Salt, you probably don't have to worry about. The effect of salt on people who don't have high blood pressure is very small, and there's no real evidence that it causes hypertension (in fact it might even be positive!), it's just a factor for people who have high blood pressure. Even then it's pretty small. The medical research is all over the map. I read up on it extensively when my doc told me I needed to start taking medication. I asked my doctor if I could just cut out salt and get off the meds. He said "unlikely" and pointed me at the INTERSALT study, which I read (not fun). Bottom line, if you don't have high blood pressure, don't worry about it, and if you do, then maybe cut salt some but take your meds. It looks like adding a little potassium (not too much, it can be tough on your kidneys) could have a bigger result than cutting back on salt. It could well be that the people trying to cut salt and using LITE salt are skewing test results by taking potassium in their salt substitute.

Or you can just google "salt and blood pressure" and read a few thousand conflicting reports and opinions
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eastbound

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Re: Two Interesting Weight Control Articles
« Reply #17 on: October 31, 2018, 08:58:47 AM »
thx pb,

the challenge of reading the intersalt study report would certainly raise my BP! or perhaps lower it, were i to be kindly allowed to fall asleep!

i was aware of the study and its alleged flaws--and ive poked around the framingham study, which some say is also flawed---and im not naive to the fact that there are many financially interested parties to the sodium/BP controversy---my take is that there is little potential harm in not adding salt to foods, and there may be upsied for someone like me, who has inexplicable mildly high BP--and if you just dont add salt, a solid day's typical food wont bring you past 1500mg, if not the 1000mg i target

i have always been skeptical of urgency that someone like me shd be taking meds for BP--i am fit, not overweight, very active and healthy (knock wood)--i have always eaten a reasonable high quality diet, incl mostly unprocessed plant-based foods--and my bp runs typically, un treated, in the high 130's to low 140's, by high 80's to low 90's--and my echocardio and chest scans so no bulging arteries or anything else of concern--calcium score slight under mean for my age--near perfect cholesterol and other blood measures--so i just tried to live well and ignore

finally my dr insisted on meds--what compelled me was her comment that the data is clear as a bell that, for those in US who can afford top med care (certainly not everyone--she doesnt accept insurance, for ex) much of the increased life expectancy of the last 25 years can be credited to the increased treatment of high BP--and she recommends not adding salt to food, despite the controversy

i trust her. i get what i pay for with her (lots more than an insurer would). she takes her time with me and she knows me personally after hours in her office over the years. and she's nice, and she's reasonable, not dogmatic, etc---but what confirmed for me that i shd respect her reco's was the result of my daughter's stalking her---turns out she was numbe one in her class at Penn med school---sha can only have been one of the very brightest in her generation of young doctors--so, much as i consider self-advocacy critical with health care, if idont have good info that contradcits her, i do as i am told

given our age here on the zone, and the prevalence of high bp, id bet a good number of us are on bp meds and considering same issues with sodium diet doctors, and the medical indu$trial con complex!
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PonoBill

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Re: Two Interesting Weight Control Articles
« Reply #18 on: October 31, 2018, 10:06:20 PM »
I think you're doing the right thing, but there's no way to be sure. For myself, I limit salt and take the meds. On meds my BP is low normal, off them it's the low end of high. Not a huge difference but I've looked at the data for strokes and MI vs. BP.  High correlation. Very.
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